- UnityPoint Health (Urbandale, IA)
- …authorization completion for specialty medications . Understands pharmacy benefit and medical benefit claims submission process for reimbursement of prescription ... up with third-party payers. Collect insurance information, run test claims , and obtain medical records for prior...school diploma or equivalent Experience: * One year of medical experience; preferably in community home health … more
- Elevance Health (Indianapolis, IN)
- …information as needed. + Copies incoming and outgoing correspondence. + Ensures rejected claims were denied correctly or determines if those claims should be ... matched to a member. + Manually matches or denies claims that are halted in our system because of...Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- WellSpan Health (York, PA)
- …with close collaboration from WellSPan's Provider Network leadership and Population Health medical directors. + Drives the development, implementation, and ... analytics vendors used by WellSpan to facilitate continued system leadership in clinical, claims , and social determinant of health data analytics. + Monitors… more
- Takeda Pharmaceuticals (Lexington, MA)
- …development and review and approval of clinical data on file to support promotional claims . + Leads the Medical Review process, procedures, and documentation of ... and Guidance documents and enforcement action letters as applicable to promotional claims and shares implications with Medical Reviewers to enhance the… more
- UNUM (Chattanooga, TN)
- …Physical Medicine and Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across ... + Performance Based Incentive Plans + Competitive benefits package that includes: Health , Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid… more
- Sanofi Group (Morristown, NJ)
- **Job title** : Global Medical Director, Evidence Generation - Innovation & Partnerships **Location:** Cambridge, MA, Morristown, NJ **About the Job** Sanofi's ... Specialty Care Immunology team is rapidly expanding. Specialty Care Medical Affairs have a vision to be the leaders...of phase 3b, phase IV clinical trials, observational studies, claims database analyses and real-world evidence (RWE) studies. +… more
- Covenant Health Inc. (Knoxville, TN)
- …Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with ... , outpatient and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical Group (http://www.covenantmedicalgroup.org/) , our area's fastest-growing physician practice… more
- LA Care Health Plan (Los Angeles, CA)
- …(Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California ... to provide health coverage to low-income Los Angeles County residents. We...Collaborates with internal departments (Member Services, Provider Network Operations, Claims , Utilization Management, Pharmacy, and Quality Management) to ensure… more
- CVS Health (Tallahassee, FL)
- …Other duties as assigned. **Required Qualifications** + 3+ years of experience in medical billing and coding, specifically related to claims processing and root ... At CVS Health , we're building a world of health...creating bulletins, newsletters, and claim trainings to improve provider claims issues. as well as billing practices, while collaborating… more
- CVS Health (Olympia, WA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive … more